Brandi Tyson Watson, FNP-C

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

RN139826 Issued in GA

Practice address

604 E Long St Ste a
Claxton, GA 30417-5914

Phone

(912) 739-7710

NPI assigned

Apr 15, 2019

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: surgicalassociates@sa.azalea.phimailbox.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emanuel County Hospital Authority

  dba Emanuel Surgical Associates

  • Surgery Physician
  • Swainsboro, GA
  • NPI 1003221243
  Medicare reassignment NPD
• Emanuel Prompt Care

  • Urgent Care Clinic/Center
  • Swainsboro, GA
  • NPI 1487484820
  Medicare reassignment NPD
• Emanuel County Hospital Authority

  dba Emanuel Medical Center

  • Rural Acute Care Hospital
  • Swainsboro, GA
  • NPI 1235129214
  NPD
• Emanuel County Hospital Authority

  dba Emanuel OB/GYN

  • Clinic/Center
  • Swainsboro, GA
  • NPI 1962639807
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1659934826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 ALMOND RD",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304397367",
            "telephone_number": "912-536-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 E LONG ST STE A",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304175914",
            "telephone_number": "912-739-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "BRANDI",
        "middle_name": "TYSON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "RN139826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "surgicalassociates@sa.azalea.phimailbox.com",
            "affiliation": "Y",
            "address_1": "604 E Long St Ste A",
            "city": "Claxton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304175914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kevin Timperman
• Daniel Michael Tootle, RPH
• Walgreen Co (Walgreens #17046)
• Christian Walker, DMD
• Amber Durrence Wasson, PHARMD
• Susan Yawn Williams, OT/L
• Pamela Renee Williamson, RPH
• Suzannah J Williamson, NP
• Samuel Lewis Woolsey

• Surgery Physician in Claxton, GA
• Providers in Claxton, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.